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Current options for nipple reconstruction
Introduction Reconstruction of the nipple–areolar complex (NAC) is most commonly performed for women as the final component of breast reconstruction following mastectomy to treat breast cancer. While a significant proportion of women ultimately forgo nipple reconstruction to avoid yet another…
Total breast reconstruction by external vacuum expansion (EVE) and autologous fat transfer (AFT)
Introduction Breast reconstruction continues to evolve and has come a long way from having prosthetic implants as the sole option. Since the early 1980s, the pedicled transverse rectus abdominis muscle (TRAM) flap and its microvascular free flap refinement gave patients…
Robotic-assisted autologous breast reconstruction
Introduction Robotic surgical technology has become ubiquitous throughout the various fields of minimally invasive surgery owing to its enhanced precision, tremor elimination, motion scaling, high resolution, 3D optics, and a user-friendly interface. These unique features inspired the senior author to…
Breast reconstruction and radiotherapy: indications, techniques, and outcomes
Access video lecture content for this chapter online at Elsevier eBooks+ Introduction The treatment of breast cancer is constantly evolving. Surgery remains an important pillar, but the use of radiotherapy (RT) has increased dramatically due to its clinical benefit in…
Surgical and non-surgical management of breast cancer-related lymphedema
Access video content for this chapter online at Elsevier eBooks+ Introduction Lymphedema is estimated to affect over 30 million patients in the US, with breast cancer being the most frequent cause. Incidence of breast cancer-related lymphedema (BCRL) can exceed 30%…
Oncoplastic breast reconstruction: local flap techniques
Introduction Breast reconstruction performed with a pedicled fasciocutaneous island flap from the back is a valuable tool in the armamentarium of the reconstructive surgeon. The two main options are: (1) latissimus dorsi musculocutaneous flap (LD-MC); or (2) its “modification”, the…
Partial breast reconstruction using reduction and mastopexy techniques
Synopsis ■ Breast-conserving therapy increases in popularity, driven by equivalent survival rates, preservation of body image, quality of life, and reduced physiologic morbidity. ■ Poor cosmetic results following breast-conserving therapy are not uncommon and are usually due to breast shape,…
Introduction to oncoplastic breast surgery
Access video and video lecture content for this chapter online at Elsevier eBooks+ Introduction Oncoplastic surgery continues to evolve as a viable option for women with breast cancer who desire partial mastectomy. Oncoplastic surgery is defined as wide excision of…
Secondary procedures following autologous reconstruction
Access video lecture content for this chapter online at Elsevier eBooks+ Introduction Breast reconstruction with autologous tissue transfer is an option for patients following unilateral or bilateral mastectomy. To date, approximately 26% of women in the UK undergo autologous reconstruction…